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Permit CITY OF TIGARD MASTER PERMIT IN q '. COMMUNITY DEVELOPMENT • : 1 Permit#: MST2013-00154 T I1.GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 S®AM Date Issued: 09/30/2013 Parcel: 2S 109DA 16200 Jurisdiction: Tigard Site address: 15394 SW OAKMONT PL Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 81 Project: Arlington Heights No. 3, Lot 81 Project Description: New SF. 1/27/14: Reprinted permit to include NC unit. Placement of NC unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1066 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 1272 sf Garage 743 sf Front: 15 Smoke Dwelling Units: 1 Third: 1770 sf Right: 5 Detectors: Yes Total: 4108 sf Value: $483,327.73 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm. N Vaccuum System: N Garage Opener. N All Ecompasing: V Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4108 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,913.27 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma •• • _ •py of the rules or• , t questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B — i�_ Permittee Signature: 50 ti- by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r. Mechanical Permit A lica ' D FOk(►FFI(:li t SL ONLY L Raecived v ffn� (� ill City of Tigard DateJOy: � w Permit No.:�faQ�.T ��1,5T Y 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1911'N 2 0 2013 Date/BY: Other Permit g,;0/4/3_Z` TI G A R D Inspection Line: 503.639.4175 Date Ready/By: )uric: ® See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information NG TYPE YPE OP= COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ®New construction ❑Addition/alteration/replacement ^Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:S ® I 2-family dwelling RESIDENTIAL EQUIPMENT/SYSTEMS FEES* y ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description I Qty. 1 Es. 1 "total JOB SITE INFORMATION / N AND LOCATION Heati vooling Job site address: 153q 1 SW OA IRA 0 N7 , Air conditioning /4 I 46.75 li (requires silo plan showing placement) , 75-- City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts/vents) 46.75 �. Furnace 100,000+BTU(ducts/vents) 1 54.91 Suite/bldg./apt.no.: Project name:Arlington Heights Heat pump 61.06 Cross street/directions to job site: e� Duct work 23.32 Hydmnic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Arlington Heights I Lot no.:sL Other. 23.32 _ Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 New,Single Family Residential Flue vent lilt water heater or gas fireplace 23.3 C, e.-e'e'of 1) �C Lv n i 7//�- Q� Log ligh ter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER I ❑ TENANT Other:Chimney/liner/flue/vent 23.32 Other: 23.32 _ Name:Stone Bridge Humes NW,LLC Environmental exhaust and ventilation _ ,b Range hood/other kitchen Address: 16869 SW 65 Avenue#505 equipment ( 33.39 City/State/ZIP:Lake Oswego,OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms. ! Phone:(503)387-7577 Fax:(503)387-7616 toilet companments,utility rooms> (0 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name:same as above Other: 23.32 Fuel piping Contact name: Deirdre Britt 514.15 for first four;$4.03 for each additional Address: Furnace,etc. , . Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) Fax::( ) Water heater 1 Fireplace E-mail: dbritt @stonebridgehomesnw.com Range CONTRACTOR Barbecue Business name:Comfort Zone Clothes dryer(gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State/ZIP:Troutdale,OR 97060 Subtotal %-75— Minimum permit lee(590.00) — Phone:(503)667-5595 Fax (503)491-8252 Plan review(25%of permit lee) CCB lie.:110091 ✓ State surcharge(12%of permit fee) 6 I TOTAL PERMIT FEE 5 q ,3(n Authorized signature: This permit application expires if a permit is not obtai ed within 100 days after it has been accepted as complete. Print name: David Heldstab I Date: • Fee methodology set by Tri-County Building Industry Service Board l:.auildingtrermitstMtiC-PermitApp.doe IWQIi09 440-16171'(I110 iC()MM'IiH) CITY OF TIGARD MASTER PERMIT °. COMMUNITY DEVELOPMENT Permit#: MST2013-00154 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013 Parcel: 2S109DA16200 Jurisdiction: Tigard Site address: 15394 SW OAKMONT PL Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 81 Project: Arlington Heights No. 3, Lot 81 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1066 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 35 Bathrooms: 4 Second: 1272 sf Garage: 743 sf Front: 15 Smoke Dwelling Units: 1 Third: 1770 sf Right: 5 Detectors: Yes Total: 4108 sf Value: $483,327.73 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 8 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4108 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST,STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 2 geo tech report required prior to footing inspection PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $24,860.91 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or .800.3 . 344. Issued • _ �_ Permittee Signature:• .4175 by 7:00 a.m.for the next available Inspection date. • This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. Building Permit Application Residential FOR OFFICE USE ONLY RECEIVED Received / �r City of Tigard CEI Y L�-/ Date/By: LP AP /5j ( Permit No.: Sf(Qi'J—O u IL ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n'�' Q Phone: 503.639.4171 Fax: 503.598.1960 Date/By: qOil 3 CKlr>✓ Other Permit j �j/3 Gb/4 , JUN 2 0 2013 Janis ® See Page 2 for TI G A RD Inspection Line: 503.639.4175 Date Ready/By: Internet: www.tigard-or.gov FTIGf1AV Notified/Method.90 4)41 Supplemental Information CITY 0 t11�i/ ttr a u/- t„):1'h Urd y TYPE OF MIRDINGDNISO REQUIREdDATA:1-AND 2-FAMILY DWELLING ®New construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation Af33)327.7'3 4❑Accessory building ❑ Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: 3.6 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: 'ly39 9N oM 'DIJ7 Ti.. New dwelling area: 9 lob square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 143 square feet (7?o Suite/bldg./apt.no.: Project name:Arlington Heights Covered porch area: 14 I square feet 1272 Cross street/directions to job site: Deck area: /2 IT Z square feet Other structure area: 4 ' i square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Arlington Heights Lot no.: el Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment.materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. t Valuation: S New,Single Family Residential Existing building area: feet zil . New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: - Name:Stone Bridge Homes Type of construction: r Address:4230 Calewood St,Suite 100 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: NV (503)387-7577 Fax:(503)387-7616 New: tc ❑ APPLICANT ❑ CONTACT PERSON NOTICE 1 Business name:SEE ABOVE All contractors and subcontractors are required to be re ih Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board r under ORS 701 and may be required to be licensed in the ■ Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons apply: Phone:( ) Fax::( ) E-mail:dbritt @stonebridgehomesnw.com • CONTRACTOR Business name:SEE ABOVE BUILDING PERMIT FEES* Address: (Please refer go fee schedule) Structural plan review fee(or deposit): City/State/ZIP: FLS plan review fee(if applicable): Phone:( ) Fax:( ) CCB lie.:173318 Total fees due upon application: _ Amount received: 7/25.� Authorized signature This permit application expires if a permit is not obtained B (0/1V/I3 within methodology hod logy after eby it has been nt accepted as complete. Print name: � D 1 Date: • Fee methodoloey set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RES PermitApp.doc 10/01/09 440-4613T(I 1/02/COM/WEB) i Plumbing Permit Application Building Fixtures RECEIVED . FOR OFFICE 118E ONLY • City of Tigard Received G`,, Q 2 DateiBv. �� t � Permit No.: t 5!0`J�JIS III • 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 0 213 Plan Review '•!'Y a Phone: 503.639.4171 Fax: 503.598.196p Date/By: Other Permit No.: e�O/g v K2 1 T I GA K D Inspection Line: 503.639.4175 CITY l OFTIGARD Date Ready/By: kris: El See Page 2 for Internet: www.tigard-or.goyUII,�INGDNISION Notified/Method: Supplemental Information TYPE OF WO l FEE* SCHEDULE CO New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath r 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen l 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ti.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 15394 SW Oa f p rr 'PL Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drowell,leach line,or trench drain 18.76 Fooling drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Arlington Heights Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:Arlington Heights I Lot no.:D1 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 New,Single Family Residential Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Stone Bridge Homes Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 4230 Galewood Street,Suite 100 Garbage disposal 25.02 City/State/ZIP: Lake Oswego,OR 97035 Hose bib 25.02 Phone:(503)387-7577 Fax:(503)387-7615 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:SEE ABOVE Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Deirdre Britt Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: dbritt @stonebridgehomesnw.com Urinal 35.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Max Plumbing Water piping/DWV 56.29 Address: PO Box 5597 Other: 25.02 City/State/ZIP: Beaverton,OR Subtotal Phone:(971)275-0198 Fax:( ) Minimum permit fee: 572.50 Plan review (25%of permit fee) CCB Lic.: 194644 -747/f Plumbing Lic.no.: PB1083 � State surcharge(12%of permit fee) Authorized signature: ✓ e...#L r�/ .. TOTAL PERMIT FEE name: Jason rner �� L Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\nuilding\Pcmtits\P1.MIJ-PermitApp.doc 10/(11109 440-4616T(10l02'C(i I/WEn) r • Mechanical Permit A lica • D FOR OFFICE USE ONLY _ City of Tigard Received C,ff� ifiep /5 �Q/G�j `J g Date/By: ,/ Permit No.:/7 pw L J T q 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.639.4171 Fax: 503.598.19 Plan Review Q / JN 2 0 2013 Date/By: Other Permit aa l3 a,G T I G A II D Inspection Line: 503.6 39.4175 Date Ready/By: lurk: 0 See Page 2 for Internet: www.tigard-or.gnv CITY OFTIGARD Notitied/Method: Supplemental Information '��AIGDIVISIUN TYPE O COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORAMAATTION AND LOCATION Heating/cooling Job site address: I5'b 1 SW PA 1R 4 0 N7 ft, Air conditioning (requires site plan showing placement) 46.75 City/State/ZIP:Tigard,OR Furnace 100,000 BTU(ducts'vents) 46.75 Furnace 100,000+BTU(ducts/vents) 1 54.91 Suite/bldg./apt.no.: Project name:Arlington Heights Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision:Arlington Heights Lot no.:SI Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 New,Single Family Residential Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 0 PROPERTY OWNER Chimney/liner/flue/vent 23.32 ❑ TENANT Other: 23.32 Name:Stone Bridge Homes NW,LLC Environmental exhaust and ventilation Address: 16869 SW 65th Avenue#505 Range hood/other kitchen equipment ( 33.39 City/State/ZIP:Lake Oswego,OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, ]� Phone:(503)387-7577 Fax:(503)387-7616 toilet compartments,utility rooms) 10 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name:same as above Fuel piping Contact name: Deirdre Britt $14.15 for first four;$4.03 for each additional Address: Furnace,etc. 1, Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) Fax::( ) Water heater Fireplace E-mail: dbritt @stonebridgehomesnw.com Range CONTRACTOR Barbecue Business name:Comfort Zone Clothes dryer(gas) Other: Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES* City/State/ZIP:Troutdale,OR 97060 Subtotal Minimum permit fee($90.00) Phone:(503)667-5595 Fax:(503)491-8252 Plan review(25%of permit lee) CCB tic.:110091 .7 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name:David Heldstab Date: • Fee methodology set by Tri-County Building Industry Service Board I.Building\t'ermits\MEEC-PermitApp.doc 10/01.'09 440-4617 r(11/02/COM/WIiH) Electrical Permit A licati - - - --FOR OFFICE USE ONLY - - Rrceivrd ,�/ 14 City of Tigard Date/B : LP �o /3 �� Permit N6.:/� ro/ - UO/ 13125 SW Hall Blvd.,Tigard.OR 9722 Pl6n Rcvicw .5.�`non'' C. Phone: 503.639.4171 Fax: 503.598.1 d&iN 2 0 2013 Plan R : Other Permit:Pal`/�i 3—ea/ r TI G A K l7 Inspection line: 503.639.4175 Date Ready/By: Juris: 10 See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information TYPE OBLNGDIVISION PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. 1� ,.l ❑Addition of new motor load of ❑"A" "E `'I.2" °I-3". Job no.: 1452 I Job site address: 153 SW I Six or or o more. occupancy.Recreational v ��'►n,M^� �• ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:Arlington Heights ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qn. I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Arlington Heights Lot no.: V 1 1,000 sq.ft.or less 168.54 4 Ea.add'1 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 67.84 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 67,84 2 residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name:Stone Bridge Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 16869 SW 65th Avenue#505 Over 1.000 amps or volts 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or relocation Phone:(503)387-7577 I Fax:(503)387-7615 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with ® APPLICANT I ❑ CONTACT PERSON above service or feeder lee. 7.42 2 each branch circuit Business name:SEE ABOVE B.Fee for branch circuits Contact name: without service or feeder fee, 56.18 2 Deirdre Britt first branch circuit Address: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 Phone:( ) I Fax: :( ) dwelling.service and/or feeder Reconnect only 67.84 ' E-mail: dbritt@stonebridgehomesnw.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 • Signal circuit(s)or limited- Business name:City Electric energy panel,alteration,or Address:55568 SW Schaltenbrand Lane extension.Describe: Page 2 2 City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the ahove Per inspection 66.25 Phone:(971)404-1714 I Fax:(503)625-3052 /'Investigation per hour(I hr min) 66.25 CCB Lie.: 42422 / I Electrical Lic.: 26-289C Suprv. Lic.: 35925 ✓ Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Chuck Friesen Date: Plan review(25%of permit fee): State surcharge(12%of pennit fee): Authorized signature: �� TOTAL PERMIT FEE: Print name: Date: this permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Number of inspections allowed per permit. I:\auilding\Panties\ELC'l'emtiiApp.doc 10/01/09 440-46151(11/05/COM!WI.l3 11111 e ° Building Division. . • Development Code Provision Review T I(j A li° Residential Projects Building Permit No.: . H 1 ',o/ 3— OO /6i/ Project/Subdivision Name: � I t �-�i, 1 AL. , Lot #: 9/ Site Address: 1 '5 3r� Oo-11._/v‘.o-►.. t- L CWS Service Provider Letter: Required:Yes ❑ No sl Received:Yes ❑ No pi Plans Routed: Original Plan Submittal Date: Co l ° J C- ,J l/3 Routed By: 1St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review(contact f\- fa KTDoQC at(503) 7182'1 Ti or GRAS (c- @tigard- or.gov) VV Land Use Case No. I COQ"00001 Zoning p--7 ISI Setbacks: 1 _i Front ront 1 Rear i, Side S Street Side ID Garafe 2.O aximum Building Height: 3 5' Actual Building Height 35- OrVisual Clearance f•)I Pr 0/Easements Sensitive Lands Type: 2590 Sk S 1 Icvll Vo1\U-e, �1-atk- MStreet Trees 10' Protected Trees N I Pr Notes: 8/(OP riVX M ef Original Plan: Approved ❑ Not Approved Date: LP 12-tk\0 Revision 1: Approved Not Approved ❑ Date: -11 l 113 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 1:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 . ':0 Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov) ❑ Actual Slo.•: f. % _ Notes: _ - i - _ Original Plan: Approved ❑ Not Approved X Date: — -- Revision 1: Approved VI Not Approved'❑ Date: -1 3 i Revision 2: Approved ❑ Not Approved ❑ Date: - Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert@tigard-or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: ■ Revision 1: Date Sent to Applic Revision 2: Date Sent to App ' ant � JJ i Okay to Issue Permit: Yes No Er ) 15/ Date Routed to Building. 7 7/3)/ , 1 ■ Page 2 of 2 1:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 . / • STONE BRIDGE I OBE : 1452 ' J HOMES NW REGF.VICIIIM. 1 , LOT: 81 DATE: 8/8/19 4230 GALEWOOD ST.SUITE 100 � I PROPERTY: ARLINGTON LAKE OSWEGO,OR 97035 ‘ HE IGHTS (503)387-7577 CITY: TIGARD JUN S7 2013 SCALE: 1"=20' CRY�� 'J��GAB® PLAN No.: 244 PRAIRIE ELEVATION al 3U L G D8',PsIoc U Nr 5'SWE 20. 23.-6. I 372 320 318 316 314 312 3tm 3ra8 306 � �. ,Y,% I 0 304 .7 300 295 yob 1,45-=' '327' .;•37:j' 9'6• , B'b' ��. I ç 1 - �. 1 1, •CRETE. m 1' ry RIVEWA •'�' 0 0 ill ��'6' Y�G y: H _ D l� if72' `32ra 4, 4 9 I lIE: .P. r ..... ,0 ' ,,, I.1. 1 . ., .: .,/;.41, Jr' / 1 ir:...::;... S ..gi / I '/ 0 T, 1 - ' :.....;:'::::. i . :`'\ 6, ��2 18'8 , 15' wet 0 / --.7iiipA4/417////4, //I/ .'.....“ SA 417.30 -------> . /....... / itif.*:..,.....:.:..' FENCE J JG J -,R .,,,V �. J LEGEND � J11 •-s` INC 5'W"'fE ® —MEASUREMENT POINT �y-�rovr 1a�_ we. EXISTING GRADE '`l�r s . - e, lye`s FINISHED GRADE —STREET TREE: (5RCIS CANADENSI$ _.. EN D BJ D LOT COVERAGE BUILDING HEIGHT LOT AREA: 5,595 SQ. FT. MAX. HEIGHT: 45'-0' PER TIGARD CODE 18.120.1 BUILDING AREA: 2,411 SQ. FT. FINISHED GRADE AT MEASUREMENT POINT: 298' PERCENTAGE: 31.5% BUILDING WEIGHT FROM MEASUREMENT POINT: 343' NOTES: ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS. ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES. ALL THEY MAY RETAINING NVARY ARE ESTIMATES. AND BE SUBJECT TO CHANGE. LOT °8I DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 6 6 6C{. ft. STREETLIGHTS, AND OTHER SITE CONDITIONS. FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III Transmittal Letter T i G Ali D 1312 Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECE • DEPT: B DING DIVISION RE,6\ -t V � JUN 27 2013 FROM: , / . CITY OFTIGARD• COMPANY: ampu‘. 4iif BUILDING DIVISION s ?)PHONE: , - 3 7- 75:4-e- (3-::k RE: (.53 ?`/ 0 Oa- 416 )*.,--;-0/3 -co/SY ((Site Ad ress)) (Permit Number) O 4c e-�-�_ 0o. 3 'u-f ?l/ (Project nanjor subdivisio name and lot number) • ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 4 ):P i o-,... U - (5-6_ plo-a.... . FOR OFFICE USE ONLY Routed to Permit Technici • Date: c(�� 13 Initials) • Fees Due: ❑ Yes [L io Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes I El No ❑ Done Applicant Notified: Date: Initials: !:\Building\Forms\TransmittalLetter-Revisions.doc 05/25!2012 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15394 SW OAKMONT PL, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal 2014-01-21 00:00:00 MST2013-00154 PASS Violation Summary: Inspector Contractor CITY OF TIGARD BUILDING DIVISION PERMIT #:R1ls 1 013-6o151/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone:(503) 639-4171ii1l Inspection Requests (24 Hrs.): (503) 639-4175 "-_.. INSPECTION WORKSHEET FOR DATE: i//jse/13 TIME: 0 PAGE: SITE ADDRESS: IS OI "?' CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/Comments/Instructions: /4/1Gri • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: LDate: ii /1f 13 Phone #: (503) 718- "--ZOt Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15394 SW OAKMONT PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 2014-01-23 00:00:00 MST2013-00154 FAIL 1. Provide ﬁnal erosion control. 2. Provide ﬁnal plumbing approval 3. Provide ﬁnal mechanical approval 4. Not ready for inspection. No inspection made OPSC 109.3 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15394 SW OAKMONT PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal 2014-01-23 00:00:00 MST2013-00154 FAIL 1. Correct gas leak at ﬁre place. All else ok Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15394 SW OAKMONT PL, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-01-23 00:00:00 MST2013-00154 FAIL 1. Correct hot water supplied to toilet, main ﬂoor 1/2 bath. 310.4 2. Hot/cold reversed at main ﬂoor lav, needs to be corrected. 415.0 Recall, All else ok Violation Summary: Inspector Contractor S Sustalnabte Bulking and CYlmate Solutions I earthe0vanta8e.org o�VCIAVE institute 808 SW 3rd Ave.Suite 800,Portland O .97204 I 503 968 726D WINISSIMPIIIIIIIMINIMIIIIIMIL L Inspection Date: I-7-I-1 I Address: 15-39 L{ SW Uo k. oil+ PI. City: Tiei4vet ni,i'ogo 13— 00 /5( • Blower Door Test Results 3 9°E-I tc/ 0,4Awoe/1 . Maximum Allowed ACH: 5.0(for Earth Advantage) Actual CFM:62...50 Pet 2143 ACH: e 50 Pc, 3.'1 Verifier Signature &All 1/e_L & F:31.4 ri v ‘,424(eft ergy Trust New Homes , ?erti fled Residential Air Duct System r�."' ' 'Trusty\ Company ■. se i[ Atsi-A1 n Technici. ■I 4 let • Date / -1313 R`• bustionw. pp..._`n.W {,.a-)-v, 'T-.:-' Main Zone Zone 2,if applies CAZ WRT Outside Pa Pa Baseline(WRT Outside,fans off) Pa Pa NET CAZ Pressure(subtract baseline from CAZ WRT outside) Pa Pa {. - !_.J,ij.:J:-_x..1� t.�liRUitJL�1a� .0 t�o8`t.''.1;if,-":..:W22-1'•. Description of Area System Serves Cond.F1 r System Serves(ft 0 r ❑ye no Air Handler in conditioned space? es❑no Air Handler present during test? If s"for either,then i CFM is 75 CFM @50 Pa or floor area x 0.06 b CFM@50 Pa,whichever is greater. If"no"for both,then maxilnum CFM is 50 CFM@50 Pa or ' floor area x 0.04 — CFM@50 Pa,whichever is greater. Test Method: ❑Leakage to Outside or . tal Leakage Test Result /e)(61 CFM @5OPa i Fan Pressure2WPa Gauge type: ❑DG-3 or-DC3$00 Ring(circle one) Open 1 2 (33__) ' Duct Blaster Location Q- Pressure Tap Location -111Verin! -e )l/• 1 wi89LS 31V1dW31 oGanV asf 6topuad waled A6o1outpal vamp :lanai $11 STREET TREE TIGARD CERTIFICATION I, n� v las c _, owner/agent for v 3 S ; ci cie (PLEASE PRINT) (PERMIT HOLDER) do hereby certitv that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMITNO.: ST_ 7c) / 3 - co / r(-7 HIE ADDRESS: I S 3 1 y sw o r, 14_ c SUBDIVISION: 12 L / �1 ,' 1 Y tt r---� LOT #: SIGNATURE: DATE: /-2 - / L, R • ENT) RECEIVED & VERIFIED BY `_ DALE: /--,2,5f-7r (CITY OF TIGARD) ❑ Tree location verified pe approved site plan. I:\Building\Forms\StreetTreeCertificate 05/30/2012 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, b av, _ , am the general contractor or the owner-builder at the following address: Site Address: IS.3C,L1 5 o v_ et- City: j 15 c-v d (% e_ Permit#: 1'v1cr 201 3 - Doi S `7 Subdivision p '3 and/or • Map and Tax Lot#: j2 L 14.9 , )1415 T S To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918-480-0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes,the building official shall be notified in writing by the general contractor that all moisture-sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: . j or Date:/ I )- /6/ General Contractor caner-Builder l 1:\Building\Form\RES-MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.:/+� -- 2.L13 - C C is,/ Jurisdiction: r c c`i f Site Address: I >3 1 S w C_' Sub iivisioi{/Lot #: and/or Tvlap and Tax Lot � �L I 1^51C 14-1; /cr. By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 - Signature: .Q��. �' " Date: I" Owner/General Contractor/ ed oriz Agent • Print Name: V' ORSC Section N1107.2. High-efficiency interior lighting systems. A minimum of fifty(50)percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent,or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. C\Buildine\Forms\RCS-l-iighr:fficiencviishtin,.doc 07/01/08